Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FLORENCE FAMILY DENTAL CARE PA

NPI: 1588967624 · FLORENCE, SC 29501 · General Practice Dentistry · NPI assigned 12/13/2010

$87K
Total Medicaid Paid
2,608
Total Claims
2,608
Beneficiaries
9
Codes Billed
2020-07
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPATTERSON, BRYAN (DENTIST)
NPI Enumeration Date12/13/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 165 $6K
2021 588 $21K
2022 929 $29K
2023 717 $24K
2024 209 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 925 925 $45K
D0120 Periodic oral evaluation - established patient 784 784 $18K
D1120 Prophylaxis - child 413 413 $14K
D0150 Comprehensive oral evaluation - new or established patient 95 95 $4K
D0272 Bitewings - two radiographic images 201 201 $4K
D1208 Topical application of fluoride, excluding varnish 123 123 $2K
D0274 Bitewings - four radiographic images 42 42 $1K
D0140 Limited oral evaluation - problem focused 12 12 $378.20
D1206 Topical application of fluoride varnish 13 13 $210.60